Provider First Line Business Practice Location Address:
1448 G ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARCATA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95521-5610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-849-8111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2024